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DAVID SAMIR RUSTOM MD
NPI 1578054078
Internal Medicine - Nephrology in Memphis, TN

Active since May 21, 2018
1030 JEFFERSON AVE, MEMPHIS, TN 38104(901) 523-8990 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Samir Rustom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID SAMIR RUSTOM MD (NPI 1578054078) is an individual nephrology provider in Memphis, Tennessee, licensed in Tennessee (67863) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1578054078
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDAVID SAMIR RUSTOMCredential: MD
Location Address1030 JEFFERSON AVEMemphis, TN 38104-2127
Mailing Address1030 Jefferson AveMemphis, TN 38104-2127 · (901) 523-8990
Phone(901) 523-8990
Sole ProprietorNo
Enumeration DateMay 21, 2018
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1578054078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TN · 67863
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1030 JEFFERSON AVE, Memphis, TN 38104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS DEBORAH GERISE KARTHEISER RN
Registered Nurse (Psychiatric/Mental Health)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
MRS. KENYETTA D. MCINTOSH-JONES LCSW
Social Worker (Clinical)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
KELSEY A TIEMANN PHARM.D.
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
PENELOPE BLAND
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DR. MAXWELL TREVOR MCCLURE PT
Physical Medicine & Rehabilitation
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
CAMEKA SHANTA MOORE RN
Registered Nurse
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DANIELLE NICOLE TAYLOR
Pharmacy Technician
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DR. ROBERT WOOD SMITH DDS
Dentist (General Practice)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Rustom's NPI number?

The NPI number for David Rustom is 1578054078. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is David Rustom located?

David Rustom practices at 1030 Jefferson Ave, Memphis, TN 38104. The listed phone number is (901) 523-8990.

What is David Rustom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for David Rustom was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.